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VTA160: Cardiovascular Drugs

Total questions: 79

Worksheet time: 40mins

Name
Class
Date
1.

What is the primary function of the heart?

a)

To digest food

b)

To move blood through the vascular system

c)

To control breathing

d)

To filter waste

2.

What are the two dorsal chambers of the heart called?

a)

Ventricles

b)

Atria

c)

Valves

d)

Arteries

3.

What is the strong muscle tissue of the heart called?

a)

Myocardium

b)

Pericardium

c)

Endocardium

d)

Epicardium

4.

Fill in the blank: Blood returns from general circulation and enters the _________

a)

vena cava

b)

aorta

c)

pulmonary vein

d)

left atrium

5.

Fill in the blank: After passing through the right atrium, blood flows through the ________ valve.

a)

tricuspid

b)

mitral

c)

aortic

d)

pulmonary

6.

Fill in the blank: Blood travels from the right ventricle to the ________ artery.

a)

pulmonary

b)

carotid

c)

renal

d)

coronary

7.

Match the following steps in the blood flow through the heart:

a)

Right atrium

1.

Receives blood from vena cava

b)

Right ventricle

2.

Pumps blood to pulmonary artery

c)

Lungs

3.

Blood gives up CO2 and brings back O2

d)

Left atrium

4.

Receives oxygenated blood from pulmonary veins

e)

Left ventricle

5.

Pumps blood to aorta

8.

Systole is the period of ________ of the chambers.

a)

contraction

b)

relaxation

c)

expansion

d)

filling

9.

Diastole represents the ________ phase when the chambers are filling with blood.

a)

relaxation

b)

contraction

c)

active

d)

pumping

10.

What must be carefully coordinated to create an efficient pumping action in the heart? (Fill in the blank)

a)

The coordination of systole and diastole phases

b)

The contraction of the diaphragm and lungs

c)

The flow of blood through the veins only

d)

The movement of oxygen in the alveoli

11.

Arrhythmias happen when there is an abnormal pattern of ________ activity in the heart.

a)

electrical

b)

muscular

c)

chemical

d)

digestive

12.

Arrhythmias are divided into two general groups. Fill in the blank: Arrhythmias that result in an increased heart rate are called ________.

a)

tachycardia

b)

bradycardia

c)

fibrillation

d)

asystole

13.

Arrhythmias are divided into two general groups. Fill in the blank: Arrhythmias that result in a decreased heart rate are called ________.

a)

bradycardia

b)

tachycardia

c)

fibrillation

d)

asystole

14.

Which type of antiarrhythmic drug causes the heart rate to slow?

a)

Sodium Channel Blockers

b)

Beta-Blockers

c)

Calcium Channel Blockers

15.

Which type of antiarrhythmic drug causes the heart to contract with less force?

a)

Sodium Channel Blockers

b)

Beta-Blockers

c)

Calcium Channel Blockers

16.

Which type of antiarrhythmic drug causes the heart to contract with more force, resulting in lower blood pressure?

a)

Sodium Channel Blockers

b)

Beta-Blockers

c)

Calcium Channel Blockers

17.

Match the following antiarrhythmic drugs to their classes:

a)

Beta-blocker

1.

C

b)

Calcium channel blocker

2.

A

c)

Sodium channel blocker

3.

B

18.

Lidocaine is a ________.

a)

sodium channel blocker

b)

beta blocker

c)

calcium channel blocker

d)

anticoagulant

19.

Propranolol is a ________ ?

a)

beta-blocker

b)

calcium channel blocker

c)

ACE inhibitor

d)

diuretic

20.

Verapamil is a ________.

a)

calcium channel blocker

b)

beta blocker

c)

ACE inhibitor

d)

diuretic

21.

Which of the following drugs decreases the rate of movement of sodium into heart cells?

a)

Lidocaine

b)

Propranolol

c)

Epinephrine

d)

Atropine

22.

Lidocaine is frequently used in which of the following settings?

a)

Emergency medicine and acute care

b)

Chronic pain management

c)

Psychiatric care

d)

Dermatology

23.

Only plain lidocaine can be used; if the vial also contains epinephrine and is injected into a patient, it could cause death.

a)

True

b)

False

24.

List two adverse effects of lidocaine.

a)

Drowsiness, depression, ataxia, and muscle tremors (any two)

b)

Hypertension and bradycardia

c)

Hyperglycemia and weight gain

d)

Constipation and blurred vision

25.

Propranolol is classified as a:

a)

Sodium channel blocker

b)

Beta-blocker

c)

Calcium channel blocker

d)

ACE inhibitor

26.

Which drug causes the heart to contract with less force?

a)

Lidocaine

b)

Propranolol

c)

Epinephrine

d)

Digoxin

27.

Propranolol decreases the heart rate and prevents tachycardia in response to ______, fear, or excitement.

a)

stress

b)

exercise

c)

hunger

d)

sleep

28.

Name two adverse effects of propranolol.

a)

Bradycardia, hypotension, worsening of heart failure, lethargy, and depression (any two)

b)

Hyperglycemia, increased appetite, insomnia, and euphoria (any two)

c)

Tachycardia, hypertension, and agitation (any two)

d)

Weight gain, rash, and constipation (any two)

29.

Which of the following drugs combats arrhythmias by blocking calcium channels of cardiac muscle cells?

a)

Verapamil

b)

Amlodipine

c)

Digoxin

d)

Lidocaine

30.

Verapamil has limited use in veterinary medicine due to _________.

a)

adverse effects

b)

high cost

c)

poor palatability

d)

lack of availability

31.

Which arrhythmias can Verapamil be used to treat?

a)

Supraventricular tachycardia, atrial flutter, and atrial fibrillation

b)

Ventricular fibrillation

c)

Sinus bradycardia

d)

None of the above

32.

List two adverse effects of Verapamil.

a)

Hypotension, bradycardia (also acceptable: tachycardia, pulmonary edema, worsening of CHF)

b)

Hyperglycemia, weight gain

c)

Alopecia, tinnitus

d)

Insomnia, euphoria

33.

Amlodipine is most commonly used for ________ in small animals.

a)

hypertension

b)

diabetes

c)

arthritis

d)

epilepsy

34.

Which drug is used to treat supraventricular tachyarrhythmias and hypertension in dogs and cats?

a)

Verapamil

b)

Amlodipine

c)

Atenolol

d)

Procainamide

35.

What is the main function of positive inotropic agents?

a)

Decrease blood pressure

b)

Increase the strength of contraction of a weakened heart

c)

Lower cholesterol

d)

Reduce inflammation

36.

Which of the following drugs are common positive inotropic agents?

a)

A) Digoxin

b)

B) Pimobendan

c)

C) Dobutamine

d)

D) All of the above

37.

Fill in the blank: Common positive inotropic agents include ________, Pimobendan, and Dobutamine.

a)

Digoxin

b)

Atenolol

c)

Furosemide

d)

Enalapril

38.
Question Image

Match the following positive inotropic agents to their corresponding images:

a)

Lannett Tablets, USP (125 mcg)

1.

Digoxin

b)

Vetmedin Chewable Tablets (1.25 mg)

2.

Pimobendan

c)

DOBUTamine Injection, USP (250 mg)

3.

Dobutamine

39.

Fill in the blank: Digoxin increases the force of contraction and ______ the rate of contraction.

a)

decreases

b)

increases

c)

stabilizes

d)

doubles

40.

Fill in the blank: Digoxin is used to treat CHF, atrial fibrillation, and ______ tachycardia.

a)

supraventricular

b)

ventricular

c)

sinus

d)

nodal

41.

Fill in the blank: Digoxin has a small therapeutic index, meaning therapeutic index and toxic range are very ______ together.

a)

close

b)

far

c)

separate

d)

different

42.

Fill in the blank: Early signs of digoxin toxicity include anorexia, vomiting, and ______.

a)

diarrhea

b)

hypertension

c)

rash

d)

insomnia

43.

Fill in the blank: Dobutamine causes increased cardiac ______.

a)

contractility

b)

output

c)

rate

d)

volume

44.

Fill in the blank: Dobutamine is only available as a ______ label product.

a)

human

b)

veterinary

c)

herbal

d)

cosmetic

45.

Fill in the blank: Dobutamine is used in patients with acute signs of heart failure such as ______ cardiomyopathy.

a)

dilated

b)

restrictive

c)

hypertrophic

d)

ischemic

46.

Fill in the blank: Adverse effects of dobutamine include tachycardia and ______ arrhythmias.

a)

ventricular

b)

atrial

c)

sinus

d)

nodal

47.

In what year was Pimobendan (Vetmedin) approved for use in veterinary medicine?

a)

2007

b)

1995

c)

2012

d)

2018

48.

Pimobendan (Vetmedin) produces balanced vasodilation leading to a reduction of both cardiac preload and ________.

a)

afterload

b)

heart rate

c)

contractility

d)

blood glucose

49.

Pimobendan (Vetmedin) is labeled for the treatment of which of the following conditions in dogs?

a)

Diabetes

b)

Atrioventricular insufficiency, CHF, and dilated cardiomyopathy

c)

Arthritis

d)

Epilepsy

50.

Which of the following is NOT an adverse effect of Pimobendan (Vetmedin)?

a)

Anorexia

b)

Lethargy

c)

Diarrhea

d)

Hypertension

e)

Atrial fibrillation

51.

What is the function of vasodilators?

a)

Constrict blood vessels

b)

Open (dilate) constricted vessels, making it easier for the heart to pump blood

c)

Increase blood pressure

d)

Prevent blood clotting

52.

Fill in the blank: Common vasodilators include Hydralazine, Nitroglycerin, and _________.

a)

Nitroprusside

b)

Atenolol

c)

Furosemide

d)

Digoxin

53.

Fill in the blank: Common ACE-Inhibitors include Enalapril and ___________.

a)

Benazepril

b)

Atenolol

c)

Furosemide

d)

Simvastatin

54.

Which of the following is a common ACE-Inhibitor?

a)

Hydralazine

b)

Nitroprusside

c)

Enalapril

d)

Nitroglycerin

55.

Which of the following is NOT a common vasodilator?

a)

Hydralazine

b)

Nitroglycerin

c)

Benazepril

d)

Nitroprusside

56.

Hydralazine causes arteriolar smooth muscle to ______, which benefits animals with a poorly functioning mitral valve.

a)

relax

b)

contract

c)

harden

d)

calcify

57.

Hydralazine is used for patients with Congestive heart failure caused by ______ valve insufficiency.

a)

mitral

b)

aortic

c)

pulmonary

d)

tricuspid

58.

Which of the following is NOT an adverse effect of Hydralazine?

a)

Hypotension

b)

Vomiting

c)

Hypertension

d)

Diarrhea

59.

Nitroglycerin relaxes the blood vessels on the ______ side of circulation. (Fill in the blank)

a)

venous

b)

arterial

c)

pulmonary

d)

lymphatic

60.

Nitroglycerin is well absorbed through the skin and mucous membranes.

a)

True

b)

False

61.

Nitroglycerin is used to improve cardiac output and reduce associated ______ edema. (Fill in the blank)

a)

pulmonary

b)

cerebral

c)

peripheral

d)

hepatic

62.

Which of the following is a minimal adverse effect of Nitroglycerin?

a)

Rashes at the application site

b)

Severe vomiting

c)

Sodium retention

d)

Tachycardia

63.

What is the primary use of Enalapril in animals?

a)

To relax the smooth muscles of arterioles and veins, useful for treating animals with cardiac disease that involves both the right and left ventricles.

b)

To increase appetite in animals with chronic illness.

c)

To treat bacterial infections in animals.

d)

To induce vomiting in cases of poisoning.

64.

List two adverse effects of Enalapril.

a)

Hypotension, azotemia, vomiting, diarrhea.

b)

Hypertension, hyperglycemia, constipation, rash.

c)

Bradycardia, blurred vision, insomnia, cough.

d)

Weight gain, alopecia, tremor, dry mouth.

65.

Has the safety of Enalapril in breeding dogs been established?

a)

No, the safety of enalapril in breeding dogs has not been established.

b)

Yes, enalapril is completely safe for breeding dogs.

c)

The safety of enalapril in breeding dogs has been extensively studied and proven.

d)

Enalapril is only unsafe for breeding cats, not dogs.

66.

What is the primary use of Benazepril in animals?

a)

To relax the smooth muscles of arterioles and veins, useful for treating animals with cardiac disease that involves both the right and left ventricles.

b)

To stimulate appetite in animals with chronic kidney disease.

c)

To treat bacterial infections in the respiratory tract of animals.

d)

To induce vomiting in cases of poisoning in animals.

67.

List two adverse effects of Benazepril.

a)

Hypotension, azotemia, vomiting, diarrhea.

b)

Hypertension, polyuria, alopecia, constipation.

c)

Hyperglycemia, cough, blurred vision, rash.

d)

Bradycardia, weight gain, insomnia, tremor.

68.

What are diuretics?

a)

Drugs that increase urine formation and promote water loss

b)

Drugs that decrease urine formation

c)

Drugs that increase blood pressure

d)

Drugs that promote weight gain

69.

Diuretics should be used cautiously in animals with hypovolemia (low blood volume) or hypotension (low blood pressure) because they further decrease the fluid component of blood and reduce _________

a)

blood pressure

b)

heart rate

c)

body temperature

d)

respiratory rate

70.

Which of the following is a common diuretic?

a)

Furosemide (Lasix)

b)

Amoxicillin

c)

Ibuprofen

d)

Acetaminophen

71.

Which medication shown in the image is a diuretic?

a)

Spironolactone

b)

Furosemide

c)

Both A and B

d)

Neither A nor B

72.

Which diuretic is very powerful for removing edema from animals with heart failure?

a)

Lasix

b)

Spironolactone

c)

Hydrochlorothiazide

d)

Mannitol

73.

Lasix is called a loop diuretic because reabsorption occurs in the loop of Henle (in the kidney).

a)

True

b)

False

74.

Which of the following is an adverse effect of Lasix?

a)

High blood potassium

b)

Dehydration

c)

High blood sodium

d)

Increased strength

75.

Lasix can be used in all species.

a)

True

b)

False

76.

Spironolactone is a potassium-sparing diuretic.

a)

True

b)

False

77.

Spironolactone is usually combined with which type of diuretic?

a)

A loop diuretic

b)

A thiazide diuretic

c)

An osmotic diuretic

d)

A carbonic anhydrase inhibitor

78.

Spironolactone has limited use in veterinary medicine.

a)

True

b)

False

79.

Which diuretic does not cause low blood potassium (hypokalemia)?

a)

Spironolactone

b)

Furosemide

c)

Hydrochlorothiazide

d)

Bumetanide